Provider Demographics
NPI:1588024434
Name:WINKELS CHIROPRACTIC FUNCTIONAL MEDICINE CENTER
Entity Type:Organization
Organization Name:WINKELS CHIROPRACTIC FUNCTIONAL MEDICINE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WINKELS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:507-410-1144
Mailing Address - Street 1:1751 HIGHWAY 52 N
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-1692
Mailing Address - Country:US
Mailing Address - Phone:507-410-1144
Mailing Address - Fax:
Practice Address - Street 1:1751 HIGHWAY 52 N
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-1692
Practice Address - Country:US
Practice Address - Phone:507-410-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5586111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty